ATI LPN
NCLEX Skin Integrity Questions Questions
Question 1 of 5
The nurse sends 10 samples of body sites to assess an intensive care patient's Candida colonization index. Seven of the samples came back as being positive. What is this patient's colonization index?
Correct Answer: B
Rationale: The colonization index is calculated as the ratio of positive sites to total sites (7/10 = 0.7), indicating significant Candida presence.
Question 2 of 5
A female client with a severe staphylococcal infection is receiving the aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. The nurse should assess the client for which adverse reaction to this drug.
Correct Answer: B
Rationale: Gentamicin is known to cause ototoxicity, potentially leading to hearing loss or balance issues, requiring close monitoring.
Question 3 of 5
Nurse Harry documents the presence of a scab on a client's deep wound. The nurse identifies this as which phase of wound healing?
Correct Answer: B
Rationale: The migratory phase involves epithelial cell migration and scab formation as the wound begins to close.
Question 4 of 5
Nurse Luis is caring for a client who has just had a squamous cell carcinoma removed from the face. Which activities can you delegate to an experienced nursing LPN/LVN?
Correct Answer: A
Rationale: Monitoring the surgical site is within the LPN/LVN scope, focusing on observation and reporting changes.
Question 5 of 5
A school-age child has been prescribed magic mouthwash for gingival herpes simplex type I(HSV-1) infection. The parent asks how this helps the childs condition. Which response by the nurse is the most appropriate?
Correct Answer: A
Rationale: Magic mouthwash has several recipes, but common ingredients include Benadryl, lidocaine, and Mylanta, which all help increase comfort so the child continues to eat and drink.